在丹麦怀孕队伍中测量心理健康,使用自我报告的WHO-5指数
Cecilie Holm Christiansen1,2, Karl Bang Christensen3, Stinne Høgh4,5,6
1Department of Obstetrics, The Juliane Marie Centre, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark. Cecilie.holm.christiansen.01@regionh.dk.
BMC psychology
|January 15, 2025
概括
世界卫生组织5项指数 (WHO-5) 是评估孕妇幸福感的有效工具. 然而,它使用特定的截止分数预测核心抑郁症状的能力是有限的.
科学领域:
- 精神病学是一个精神病学.
- 产科 产科 产科 产科 产科
- 心理测量 心理测量 心理测量
背景情况:
- 怀孕并发症包括幸福感下降和抑郁情节,可能会伤害母亲和婴儿.
- 世界卫生组织5项指数 (WHO-5) 是一种广泛使用的健康评估工具.
- 大型抑郁症清单 (MDI) 是一种诊断抑郁症状的诊断工具.
研究的目的:
- 评估WHO-5指数在孕妇中的心理测量有效性.
- 评估WHO-5指数作为核心抑郁症状的代理 (MDI-2).
- 用WHO-5指数识别与怀孕期间幸福感下降相关的风险因素.
主要方法:
- 用WHO-5指数分析了一大群37,129名头三个月的孕妇.
- 用确认因素分析和项目响应理论来评估心理测量有效性.
- 在1001名女性的子样本中,WHO-5截止值 (≤50和≤28) 的灵敏度,特异性和预测值与MDI-2进行了比较.
主要成果:
- 较低的WHO-5分数与年龄较小,教育程度较低,失业,无双性,不理解丹麦语,不同居,吸烟和怀孕前缺乏运动有关.
- 世卫组织-5指数表明了心理测量有效性,但各语言群体的分数并非可比.
- 对于一个MDI-2症状,WHO-5切断值≤50显示中等预测值 (0.81灵敏度,0.82特异性),而≤28显示低灵敏度 (0.32) 和高特异性 (0.98).
结论:
- 世卫组织-5指数是可以接受的,它确定了孕妇人口中精神困扰的已知风险因素.
- 世卫组织-5指数是评估怀孕期间幸福感的有效心理测量仪器.
- 世卫组织-5指数的调查截止分数对于识别核心抑郁症状 (MDI-2) 的预测价值有限.
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